There are several exercises you can do on a regular basis to help with complications from Duputren’s contracture. But the right ones for you will depend on your specific case. “It’s best to consult an occupational therapist or physical therapist for specific guidance on home exercises for Dupuytren’s contracture,” says Dr. Ferri. These exercises may include:
1. Finger Extensions
“Finger extension is one of the most important exercises for Dupuytren’s contracture, as fully straightening the fingers is one of the most noticeable concerns related to this condition,” says Ferri.
How to do it: Put your palm flat on a surface and spread your fingers wide apart. Then, bring your fingers back together.
2. Finger Lifts
How to do it: Put your palm down flat on a smooth surface. Lift one finger at a time, pause, and then lower it back down.
3. Fist Opening
Practicing fist openings regularly can help with your overall finger mobility, says Ferri. But be careful not to force your hand into a tight fist, as using a lot of pressure to squeeze the fingers together can do more harm than good, she adds.
How to do it: Form a loose fist with all fingers curled in toward the palm. Then, gently open the fist and stretch your fingers out.
4. Knuckle Bending
This exercise targets your knuckle joints, but it can be challenging if you don’t have much motion in your knuckles. If this is the case, “You can use your other hand to gently help bend each knuckle and then straighten it back out,” Ferri notes. “Be sure not to force anything, and don’t push past the point of pain.”
How to do it: With your hands in front of you, bend the first two joints of your fingers down and then straighten them.
5. Massage
“[Hand] massage can help manage stiffness, especially in your upper palm, near the base of your fingers,” says Ferri.
How to do it: Using your thumb or another finger on one hand, gently massage in between the fingers of your other hand. You might also want to consult a massage therapist experienced in treating Dupuytren’s contracture for more guidance.
How often you do these exercises will depend on how advanced the Dupuytren’s contracture is. “If you’re in the early stages of the condition, doing these at least once a day is usually the recommendation, as long as you can complete them and be relatively free of pain,” says Ferri. If you are in the later stages, it may be helpful to do these every other day or a couple of times a week. Too much exercise can worsen the condition, she adds.
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